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This workshop, led by Gavin Leslie, Judy Currey, Andrea Marshall, and Leanne Aitken, focuses on the essentials of preparing case studies for publication. Participants will receive updates on ACC and electronic publishing, and learn to craft informative critiques of patient care. Key components include developing management plans for challenging patients, cultivating problem-solving skills, and enhancing practice guidelines. The workshop will emphasize the importance of educational messages and structured formats to ensure effective communication and insight into clinical practices.
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Getting Published Gavin Leslie Judy Currey Andrea Marshall Leanne Aitken
Workshop Outline • Update on ACC • Preparing a case study for publication • Update on electronic publishing
Case Studies - Purpose • Informative critique of patient care • Facilitates learning from past experiences • Allows clinicians to share management plans for challenging patients • Develops problem solving skills • Facilitates development of practice guidelines
Educational Message • Essential component of case study • Might include: • Raising awareness of issue • Outlining new understanding of condition, complication or treatment • Clarifying previously unclear aspect of pathophysiology or care
Educational Message Patterson et al Successful Outcome in Severe Traumatic Brain Injury: A Case Study. J. Neuroscience Nursing 2005; 37(5): 236 – 42: • Abstract - “This case study explores the potential benefit of combining multimodality monitoring and TBI guidelines in the management of severe TBI” • Conclusion – “This case study demonstrates how neurocritical care management with MMM can control ICP, maximize CPP and prevent devastating secondary injury.”
Educational Message Dwivedi et al Interactive Care Report: A 28 year old post partum woman with right sided chest discomfort. BMJ 2006; 332: 406, 471, 643 • Presented in 3 sections: • Case presentation • Case progression • Case outcome • “highlights the importance of ruling out coronary artery disease …. The exercise test is truly diagnostic in only 40% of patients …. Stress echocardiography is a reliable and cost effective method for diagnosis and risk assessment ….”
Principles • Describe a real patient who required significant and challenging care • No intention to generalise care beyond this specific case • Sufficiently complex to raise interest care issues • Not so rare that few readers will care for a similar patient
Totally original condition / new disease Rare and previously sparsely reported condition Unusual presentation of a common disease Unexpected association between two relatively uncommon symptoms / signs Impact of one disease process on another Unexpected event in the course of observing or treating a patient Impact of a treatment regime of one condition on another disease Unexpected complication of treatment or procedure New and unique treatment Honest mistakes in management Categories of Case Reports Chelvarajah R & Bycroft J Writing and publishing case reports, Acta Neurochir, 2004; 146: 313-6
Principles cont. • All aspects of background that impact on care should be described • Outcome should be included • Incorporate relevant illustrations • Maintain privacy of patient • Critically appraise care • Incorporate literature where appropriate
Format • Abstract • Introduction • Case description • Discussion • Conclusion
Abstract • Format dependent on journal • Describe clinical problem or care • Clearly state what the educational message is
Introduction • Set the scene • Identify how common the situation / condition is • What makes this case interesting? • Reference this to the known literature so readers can refer
Case Description • Include all relevant background, e.g.: • Past health history • Social history • Current problem • Do not provide unnecessary / irrelevant information • Consider how to sequence information
Case Description cont. • Aspects of care to incorporate: • Assessment information • Treatment information • Care of the family • Interpersonal care
Discussion • Provides a critique of the care • Commentary on care that was not effective and possible reasons • Incorporate relevant literature and comments on the consistency of this case with the literature
Conclusion • Links to the introduction • Emphasises the educational message • Outline implications for practice and recommendations for future research
Style of a Case Study • Combination of ways of providing information, e.g.: • Essay style • ‘text boxes’ with clinical details • Ensure ease of reading
Summary • Need to be interesting • Must have educational message • Follow a structured format
